[33F] Experiencing nausea and multiple symptoms

Patient Description

A 33-year-old female presents with sudden onset nausea lasting for a day, accompanied by sulfur burps, mild cramping in the lower left side, bloating, headache, insomnia, hot flashes, increased libido, and increased urination frequency. The patient denies any recent dietary changes, stress, travel, or exposure to illness. There is no diarrhea, vomiting, changes in bowel habits, fever, or chills reported. The last menstrual period was on November 17th, and the patient is unsure about the possibility of pregnancy but has not taken a test. No recent changes in medications or supplements. Medical history includes mitral valve prolapse, asthma, and COPD. Current medications include insulin (0.25 once a week), metformin (500 mg twice a day), and an inhaler (3 times a day). No known allergies.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations:

  1. Gastrointestinal Disturbance: Your nausea, sulfur burps, and bloating could be related to a gastrointestinal issue such as indigestion or a mild stomach infection. These symptoms can sometimes occur due to dietary changes, stress, or infections.

  2. Hormonal Changes: The hot flashes, increased libido, and insomnia might suggest hormonal fluctuations. These can occur due to various reasons, including stress, changes in medication, or even the menstrual cycle.

  3. Urinary Tract Infection (UTI): The increased frequency of urination could indicate a urinary tract infection, especially if accompanied by any discomfort during urination.

  4. Pregnancy: Given the combination of nausea, bloating, and changes in libido, pregnancy could be a possibility, although you mentioned not having taken a test.

  5. Migraine or Tension Headache: Your headache could be a result of stress, dehydration, or even related to your other symptoms.

It's important to consult with a healthcare professional to get a proper diagnosis and treatment plan. They may recommend tests such as blood work, urine analysis, or imaging studies to better understand your condition.

What you can do

For Nausea and Gastrointestinal Symptoms:

  • Try eating small, bland meals and avoid spicy or greasy foods.
  • Stay hydrated by sipping on clear fluids like water or ginger tea.
  • Consider over-the-counter antacids or anti-nausea medications, but consult with a pharmacist or doctor first.

For Hot Flashes and Hormonal Symptoms:

  • Dress in layers to easily adjust to temperature changes.
  • Practice relaxation techniques such as deep breathing or meditation to help manage stress.

For Increased Urination:

  • Monitor your fluid intake and try to avoid caffeine and alcohol, which can increase urination.
  • If you suspect a UTI, consider seeing a doctor for a urine test.

For Headache:

  • Rest in a quiet, dark room and apply a cold compress to your forehead.
  • Over-the-counter pain relievers like ibuprofen or acetaminophen may help, but use them as directed.

General Advice:

  • Keep a symptom journal using MDandMe to track your symptoms, triggers, and any changes over time. This can be helpful for your healthcare provider.
  • Ensure you are getting enough rest and maintaining a balanced diet.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe abdominal pain or cramping
  • Persistent vomiting or diarrhea
  • High fever or chills
  • Painful urination or blood in your urine
  • Severe headache or vision changes

Remember, while I can provide guidance, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. If you have any more questions or need further assistance, feel free to reach out.

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12 d ago


People Also Ask


What could cause sudden onset nausea and sulfur burps?

Sudden onset nausea and sulfur burps can be caused by gastrointestinal disturbances such as indigestion or a mild stomach infection. These symptoms might also be related to dietary changes, stress, or infections.


Are hot flashes and increased libido related to hormonal changes?

Yes, hot flashes and increased libido can be related to hormonal changes. These fluctuations can occur due to stress, changes in medication, or the menstrual cycle.


How can I tell if I have a urinary tract infection (UTI)?

Increased frequency of urination, especially if accompanied by discomfort or pain during urination, could indicate a urinary tract infection (UTI). It's advisable to see a doctor for a urine test to confirm.


Could my symptoms indicate pregnancy?

The combination of nausea, bloating, and changes in libido could suggest pregnancy. Taking a pregnancy test would be a good first step to determine if this is the case.

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